Moslemi Mohammad Kazem, Abedinzadeh Mehdi, Al-Mousawi Shabir
Department of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Science, Qom 3715694978, Iran.
Case Rep Med. 2010;2010:438530. doi: 10.1155/2010/438530. Epub 2010 Nov 7.
Torsion of an undescended testis is uncommon. Torsion of a cryptorchid testicle presents a nonspecific symptomatology. Clinical suspicion indicates emergent surgical exploration, irrespective of Doppler ultrasound with its inherent false negative results. Management of the contralateral testis is controversial. We emphasize the need of a complete physical examination of the child who goes to the emergency room with nonspecific symptoms of abdominal pain and ipsilateral empty hemiscrotum to rule out torsion of a cryptorchid testicle. Herein, we report a one-year-old infant with missed torsion of undescended left testis.
隐睾扭转并不常见。隐睾扭转表现出非特异性症状。临床怀疑提示应紧急进行手术探查,无论多普勒超声检查结果如何,因其存在固有假阴性结果。对侧睾丸的处理存在争议。我们强调,对于因腹痛和同侧阴囊空虚等非特异性症状前往急诊室的儿童,需要进行全面体格检查,以排除隐睾扭转。在此,我们报告一例1岁婴儿,其左侧隐睾扭转未被及时发现。